Health Promotion and Maintenance Q 130
Nurse Linda is preparing a client with multiple sclerosis for discharge from the hospital to home. Which of the following instructions is most appropriate?
A. “Practice using the mechanical aids that you will need when future disabilities arise”.
B. “Follow good health habits to change the course of the disease”.
C. “Keep active, use stress reduction strategies, and avoid fatigue”.
D. “You will need to accept the necessity for a quiet and inactive lifestyle”.
Correct Answer: C. “Keep active, use stress reduction strategies, and avoid fatigue”.
The nurse’s most positive approach is to encourage the client with multiple sclerosis to stay active, use stress reduction techniques and avoid fatigue because it is important to support the immune system while remaining active. Recommend participation in groups involved in fitness or exercise and/or the Multiple Sclerosis Society. Can help the patient to stay motivated to remain active within the limits of the disability or condition. Group activities need to be selected carefully to meet the patient’s needs and prevent discouragement or anxiety.
Option A: Individuals with MS may experience loss of balance, muscle spasms, problems in moving arms or legs, double vision, or loss of vision. Mechanical aids may come in handy once these symptoms occur, but the client should be taught not to depend on these devices. Mobility aids can decrease fatigue, enhancing independence and comfort, as well as safety. However, individuals may display poor judgment about the ability to safely engage in an activity.
Option B: Multiple sclerosis is a disorder that is chronic and has no cure. However, following good health habits would benefit the client. Anticipate hygienic needs and calmly assist as necessary with the care of nails, skin, and hair; mouth care; shaving. Caregiver’s example can set a matter-of-fact tone for acceptance of handling mundane needs that may be embarrassing to the patient and repugnant to SO.
Option D: Most people with MS continue to function normally for 20 years after diagnosis or more. Keeping active would be very beneficial to the client’s health and in maintaining a high quality of life. Plan care consistent rest periods between activities. Encourage afternoon naps. Reduces fatigue, aggravation of muscle weakness.